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Tennessee rates for HCPCS E2387

Power wheelchair accessory, foam filled caster tire, any size, replacement only, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.38 / $40.38 / $40.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.84 / $40.92 / $48.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.42 / $58.92 / $64.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.01 / $39.01 / $39.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.15 / $39.01 / $47.20
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.06 / $280.00 / $280.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.44 / $34.50 / $57.16